A multilevel analysis of condom use among adolescents in the European Union

Lazarus, Jeffrey V.; Moghaddassi, Mahnaz; Godeau, Emmanuelle; Ross, Jim; Vignes, Caroline; Östergren, Per-Olof; Liljestrand, Jerker

doi:10.1016/j.puhe.2008.10.014

Cited by 25 publications

(24 citation statements)

References 21 publications

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“…It is possible that condom use is primarily associated with pregnancy, and not STI, prevention [25]. Lazarus et al noted high oral contraception use amongst Swedish women, which could partially explain the lower condom use among women found in our study [29]. They also noted that low HIV prevalence in Sweden could explain low condom use; however our study shows that men do not correlate condom use to STI risk, so our data does not necessarily support this theory.…”

Section: Discussioncontrasting

confidence: 76%

Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV

et al. 2011

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IntroductionTo better understand trends in sexually transmitted infection (STI) prevention, specifically low prevalence of condom use with temporary partners, the aim of this study was to examine factors associated with condom use and perceptions of STI risk amongst individuals at risk, with the underlying assumption that STI risk perceptions and STI prevention behaviors are correlated.MethodsA national population-based survey on human papillomavirus (HPV) and sexual habits of young adults aged 18–30 was conducted in Sweden in 2007, with 1712 men and 8855 women participating. Regression analyses stratified by gender were performed to measure condom use with temporary partners and STI risk perception.ResultsMen's condom use was not associated with STI risk perception while women's was. Awareness of and disease severity perceptions were not associated with either condom use or risk perception though education level correlated with condom use. Women's young age at sexual debut was associated with a higher risk of non-condom use later in life (OR 1.95 95% CI: 1.46–2.60). Women with immigrant mothers were less likely to report seldom/never use of condoms with temporary partners compared to women with Swedish-born mothers (OR 0.53 95% CI: 0.37–0.77). Correlates to STI risk perception differ substantially between sexes. Number of reported temporary partners was the only factor associated for both men and women with condom use and STI risk perception.ConclusionsPublic health interventions advocating condom use with new partners could consider employing tactics besides those which primarily aim to increase knowledge or self-perceived risk if they are to be more effective in STI reduction. Gender-specific prevention strategies could be effective considering the differences found in this study.

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Section: Discussioncontrasting

confidence: 76%

Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV

et al. 2011

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“…Gender, alcohol, national religion, and income variables were all correlated with individuals' decisions or ability to use a condom (42).…”

Section: Rethinking Condom-based Programsmentioning

confidence: 99%

Systematic Review of Interventions to Prevent Spread of Sexually Transmitted Infections, Including HIV, Among Young People in Europe

Lazarus

Sihvonen-Riemenschneider²,

Laukamm-Josten

et al. 2010

Croat Med J

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The young people studied were more accepting of peer-led than teacher-led interventions. Peer-led interventions were also more successful in improving sexual knowledge, though there was no clear difference in their effectiveness in changing behavior. The improvement in sexual health knowledge does not necessarily lead to behavioral change. While knowledge may help improve health-seeking behavior, additional interventions are needed to reduce STIs among young people.

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“…[4][5][6][7][8][9] The inclusion of macro-level indicators acknowledges that HIV/AIDS risk is not the sole result of individual-level characteristics but, rather, a reflection of how structural factors may shape behaviors and create health inequalities. 10,11 Increasingly, researchers have begun to assess how these structural factors are associated with HIV/AIDS risk behaviors in order to create multilevel HIV/STI prevention programs that go beyond traditional, individual-level behavior change efforts. [12][13][14][15][16] Given our interest in understanding how neighborhood disadvantage may influence youth HIV/AIDS risk, we focused on youth condom use across adolescence as it is the only reproductive health technology that serves as a barrier method against HIV/STI infection during youth's exploration of their sexuality.…”

mentioning

confidence: 99%

Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents

2010

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Neighborhood context may influence youth sexual decision-making. We examined the association between neighborhood characteristics and condom use in a sample of African American youth followed across the high school years (N=681; 51% female). Using a three-level hierarchical linear model, we modeled inconsistent condom use over time and then examined its association with youth's sexual risk trajectories (sexual intercourse frequency, number of partners, and pregnancy concerns) and individual-level characteristics (sex, age, SES, and household composition), and neighborhood disadvantage. While sexual intercourse frequency was associated with inconsistent condom use over time, youth reporting greater pregnancy concerns and number of partners reported more consistent condom use over time. Females were more likely to report more inconsistent condom use over time. Neighborhood disadvantage characteristics were associated with less baseline condom use, but did not have an association with changes in youth's condom use over the high school years. We discuss the implications for community-based HIV/AIDS prevention for youth.

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A multilevel analysis of condom use among adolescents in the European Union

Cited by 25 publications

References 21 publications

Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV

Assessing Perceived Risk and STI Prevention Behavior: A National Population-Based Study with Special Reference to HPV

Systematic Review of Interventions to Prevent Spread of Sexually Transmitted Infections, Including HIV, Among Young People in Europe

Neighborhood Disadvantage and Changes in Condom Use among African American Adolescents

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